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Curriculum

Fellows in the Special Coagulation Fellowship:

Receive instruction covering the physiology of normal hemostasis, disorders of hemostasis — including both hemorrhagic and thrombotic diathesis — and their management, as well as the laboratory tests used to evaluate and diagnose disorders of hemostasis.

Participate in didactic lectures by the laboratory's teaching technologist and extensive informal teaching interactions with clinical coagulation staff consultants, including the laboratory director. In addition, fellows participate in activities of the comprehensive hemophilia center, including a didactic teaching session with the nurse coordinator.

Participate in the outpatient coagulation clinic, where clinical interviews and medical history analysis skills are developed and additional coagulation testing selection may occur based on clinical information. In addition, the management of the patient's specific hemostatic disorder is discussed.

Participate in interpretive reporting of coagulation test panel results for Mayo Clinic patients and for external samples received via Mayo Medical Laboratories, developing skills in use of reflexive testing algorithms and formulation of oral and written interpretations of test results, possibly including communicating the information to referring physicians.

Prepare interpretive reports, or sign-outs, of coagulation test panel results, in collaboration with the coagulation consultants. Supplementary educational materials are also available, and their use is encouraged. These include coagulation conferences syllabi, video and DVD presentations of pertinent coagulation seminars, hemostasis textbooks and reviews, and a coagulation library containing hemostasis journals and texts.

Prepare seminars on clinical and laboratory coagulation topics to be presented to laboratory and clinical staff and give presentations at internal conferences.

Research training

Fellows participate in various research projects dealing with hemostasis diseases from a pathology and clinical perspective.

Evaluation

Fellows are evaluated at the end of each rotation or quarter. Evaluations are completed by faculty, allied health staff and other education staff. Fellows also have the opportunity to evaluate the faculty and program.

Evaluations assess competence in:

Patient care

Medical knowledge

Professionalism

Systems-based practice

Practice-based learning and improvement

Interpersonal and communication skills

The program director meets with each fellow quarterly to review the evaluations and discuss professional growth. Fellows are able to view their evaluations electronically. Final written summative evaluations are completed for each fellow upon completion of the program.